MED SURG 1 HESI EXAM WITH COMPLETE SOLUTIONSHyperglycemia s/s - Polydipsia, poly iris, polyphagia, blurred vision, weakness, weight loss,syncopeEncourage water, check BG, assess for ketoacidosis, insulin asdirHypoglycemia s/s - Headache, nausea, sweating, tremors, lethargy, hunger, confusion,slurred speech, tingling around mouth, anxietyOccurs rapidly, treat with complex carbs ( glucose gel, fruit juice, 10-16 jelly beans, gumdrops, life saversCheck BG, <40 May seizeHypoglycemia s/s -SMBG - Record results for provider,Prediabetes - Fasting BG 100-125 or HBA1C 5.7-6.4surgical risk factors - age; nutrition status; fluid/electrolyte status; general health (cardiacconditions, coagulation probs => hemorrhage, URTI => surgery delayed, COPD exacerbationpossible r/t anesthesia, renal probs impair electrolyte stuff, uncontrolled DM => poorhealing and infection, meds including OTC (anticoagulants, tranquilizers - hypotension, heroin- dec CNS response, antibiotics - incompatible w anesthetics, diuretics - electrolyteimbalance, steroids, OTC herbs, vitamin EPreop - time from decision to have surgery until taken to OR; Nurse gets hx, teaching,checklistpreop history - age, allergies (iodine), current meds, hx of med/surg probs, prev. surgeries,prev. experience w/ anesthesia, tobacco, drug abuse, understanding of procedure, copingresources, cultural and ethical factors affecting surgeryPreview Mode
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